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Contact Information

VANESSA S ROGERS, PA-C
8210 LOUISIANA BLVD. NE
SUITE C
ALBUQUERQUE, NM87113-1761
 Phone: 505-858-1222
 Fax: 505-858-1224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for VANESSA S ROGERS · (Female)

NPI # 1649432634
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 06/30/2008
Last updated 08/06/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50.004464
  • OH License # 50.004464RX
  • NM Medicaid 13003577
  • OH Medicaid 0144513
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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